Active NPI
Brian Lee Nordin, SAC
- Addiction (Substance Use Disorder) Counselor
- Ashland, WI
National Provider Identifier
1609641463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 20433-130
- Practice address
- 53585 Nokomis Rd
Ashland, WI 54806-4272 - Phone
- (715) 682-7133
- Fax
- (715) 685-7857
- NPI assigned
- Nov 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20433-130 | WI | Primary |
Addresses
Primary practice location
53585 Nokomis Rd
Ashland, WI 54806-4272
Mailing address
53585 Nokomis Rd
Ashland, WI 54806-4272
Phone (715) 682-7133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20433-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1609641463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53585 NOKOMIS RD",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548064272",
"telephone_number": "715-682-7133",
"fax_number": "715-685-7857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53585 NOKOMIS RD",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548064272",
"telephone_number": "715-682-7133",
"fax_number": "715-685-7857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDIN",
"first_name": "BRIAN",
"middle_name": "LEE",
"credential": "SAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-21",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "20433-130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, WI
- New Horizons North, Inc.
- New Horizons North, Inc.
- Jennifer Newago, B.S., R.N.
- Laura Anton Ia Nitsche, CCC SLP
- Dale T Nixon, DDS
- Northern Waters Ophthalmology SC
- Northland Counseling Services LTD
- NSH Ashland LLC (Ashland Health Services)
- NSH-Court Manor LLC (Court Manor Health Services)
- Lynn Marie O'Connell, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.